The radiolab program “Guts” the cast talk about the fascinating world that is our intestines. They begin by introducing William Beaumont an army doctor at fort mackinac, who saves Alexis Saint Martin from a gunshot wound that had left a giant hole in his stomach. Being a doctor and a scientist in 1822 Beaumont was intrigued with he had seen coming out of this hole; guts, lungs, and food. A year after the GSW the hole hadn’t gone away, Alexis had grown a fistula with just a flap of skin covering the hole. After noticing this Beaumont offers him a job, not just out of kindness but to study Alexis and his fistula. Beaumont then begins his experiments; he began by inserting different kinds of food attached to a string into the fistula and recorded …show more content…
Fistulas tend to close spontaneously within 6 weeks if the fistula has not closed by then then chances are it will not close especially if GI disease is present (P.4). The authors defined gastrointestinal fistulae (GIF) as an abnormal communication between two epithelial lined surfaces (P.1). Had I broken it down into its layman terms I would see that gastrointestinal (stomach intestine) fistulae (abnormal connection between organs) makes total sense. Out of the two main types of fistulae, type 2 is the one that Alexis Saint Martin acquired because it’s defined as an injury to a normal bowel wall that didn’t completely close; while type 1 is a fistula in result of a disease on the wall. There is an acronym, SNAP, that is used to manage a fistula. Sepsis- there must be no signs, make sure with proper antimicrobial therapy. Nutrition- depending on the placement of patient will be given needed supplements through the vein in hospital or home. Anatomy- the length, condition, structure, and where the fistula is needs to be known. Procedure- when the first couple of acronyms have been established then surgery should be planned to close the fistula. The procedure should take time and be in detail for the fistula closure to be successful with no reoccurrences in the future. The main
One or more gallstones erode into the gastrointestinal tract, creating a cholecystenteric fistula, most commonly between the gallbladder and the duodenum. Gallstones less than 2 to 2.5 cm generally pass into the intestine without causing obstruction while stones 5 cm or larger are more likely to impact usually at the distal ileum, the narrowest part of the small bowel. Other reported sites of impaction include proximal ileum, jejunem, colon, and rarely the duodenum or stomach (bouveret’s syndrome). [11] In our case, a large, approximately 5 cm, gallstone was found impacted at the jejunum while a smaller stone was found impacted at a Meckel’s
Dr. Nolen's purpose for writing "The First Appendectomy," which speaks about his first execution of an appendectomy, was to inform. Dr. Nolen writes explains the procedures in performing an appendectomy and the possible complications that can and did occur during his first operation. Dr. Nolen informs readers that, “There are five layers of tissue the abdominal wall: skin, fat, fascia (a tough membranous tissue), muscle
A urethrocutaneous fistula is an opening between the skin of the penis and the urethra. It can be congenital, but more often than not, it is a direct result of circumcision. To correct this complication, surgery is needed. Although urethrocutaneous fistulas are a rare complication, they do
(SFS1) When Dr.Scarpetta went to exam the body she removed the breastplate of rib so she could look at the organ of the dead body. They were soft and
In order for this breakdown to happen, the ‘tube’ through which the food travels requires assistance from a number of other digestive organs starting with the salivary glands, and later receiving
...k two nurses to change the dressing- one to lift the folds of skin and the other to pack the wound. Continuing to mark the date and the margins of the wound, Katie’s nurses and doctors were hoping for a survival. Nutritional support at this point was entered via gastrointestinal tubing and by this time Katie was going through major psychological wounds that needed healing as well. Sadly the doctors were not able to prepare Katie to go home. Despite fasciotomy and the surgery, her infection continued aggressively. Her wound after surgery had a foul-smelling drainage, which increased in amount every day. Local cellulitis developed at the IV site on her arm. Just 10 days after the first surgery she underwent a second infection spreading around her hip area. Despite all efforts by Katie and the hospital staff, she died of septic shock and multisystem organ failure after 30 days in intensive treatment. Although flesh-eating disease is always life threatening and in most cases results in a fatality, it doesn’t have to have an unhappy ending if you use prompt recognition and go to clinical expertise within the first sign of the disease. Don’t let it get you!
Fig1. shows the human digestive system or the alimentary canal with different organs. (ladyofHats 2006).
A urethrocutaneous fistula is an opening between the skin of the penis and the urethra. It can be congenital, but often, it is a direct result of circumcision. To correct this complication, surgery is needed. Although urethrocutaneous fistulas are a rare complication, they do occur.
...ve eaten, to break down the food into a liquid mixture and to slowly empty that liquid mixture into the small intestine. Once the bolus has entered your stomach it begins to be broken down with the help of the strong muscles and gastric juices which are located in the walls of your stomach. The gastric juices are made up of hydrochloric acid, water, and mucus- and the main enzyme inside of your stomach is what is known as pepsin, which needs to be surrounded in an acidic setting in order to do its job, that is to break down protein. Once the bolus has been inside of your stomach for long enough it begins to form into a liquid called chyme, and what keeps the chyme from flowing back into our esophagus are ring shaped muscles known as sphincters located at the beginnings and ends of the stomach and they have the task of controlling the flow of solids and liquids.
10) Zacharin, R. B., (2000). A History of Obstetric Vesicovaginal Fistula. Australian and New Zealand Journal of Surgery, 70(12), 851-854. DOI: 10.1046/j.1440-1622.2000.01990.x
In comparison to many other diseases, diverticulitis can form in various degrees of severity. The treatment all depends on how severe or acute the patients case is. There are two treatment categories in which divirticulitis patients are seperated into. That is, treatment for acute diverticulitis or treatment for chronic diveticulitis. Individuals that get treated for acute cases of attacks most likely will find solace with antibiotics and temporary changes in diet without hospitalization. This is to prevent/treat a new and/or ongoing attacks. Some patients that can permit taking in oral liquids and do not have any significant changes in heart rate, blood pressure or increase in fever can be treated with oral antibiotics and restriction of the diet to a low fiber or liquid diet until the attack resolves. On the other hand, patients who have a more serious attack such as high fever/white blood cell count, changes in heart rate/blood pressure and do not get any better with the oral antibiotics, they are usually admitted to the hospital for hydration and intravenous antibiotics. Once the patient is stable and improving from the intravenous antibiotics which takes about 4-6 weeks after, the doctor will recommend a colonscopy just to check and make sure that their are no other causes for their current illness. When a patient has a case of “acute complicated diverticulitis” it can be treated by performing a laparoscopic washout of the abdomen. During this procedure the abdomen is inspected, if any pus is detected it is drained out, and the abdomen cavity is washed out using laparoscopic tools. This is done to remove the infected fluid with also avoiding the colon removal
the body before it was cut from the going to the chest and the intestines would
Hi there. My name is Albert and this is my adventurous story of my journey through a human. I was a delicious gourmet hamburger with fresh ingredients like salad, mustard and an angus beef pattie. I was dumped into a family feed box labelled with a massive golden arched ‘M’. Now, I’m quite an intelligent burger, unlike my other food companions and I love studying about the fascinating human digestive system when I went to Burgerton College. I’m here to tell you first-hand about my digestive journey into the human body! Here is a map of the human digestive system for your convenience to pinpoint where I am in my journey as I am recounting my story.
...ll human organs and the systems that they belong to. "This would be the most revolutionary type of alternative, especially for human related experiments"().
...treatment, surgery may be required, commonly in cases of intestinal hemorrhage. In very rare cases, where the antibiotics do not eradicate the disease, surgical removal of the gallbladder may be required. Although rare, the Cholecystectomy may not always be effective in eradicating the disease, due to it’s persisting hepatic infection state.